scholarly journals Crecimiento guiado con placas en 8 para la corrección de deformidades angulares en pacientes esqueléticamente inmaduros. [Eight plate guided growth for angular deformity correction in skeletally immature patients.]

10.15417/448 ◽  
2015 ◽  
Vol 80 (4) ◽  
pp. 254 ◽  
Author(s):  
Diego Tourn ◽  
Victoria Allende ◽  
Julio Javier Masquijo
Keyword(s):  
Deformity Correction ◽  
Angular Deformity ◽  
Skeletally Immature ◽  
Guided Growth

<p><strong>Introducción</strong></p><p><strong></strong><em> </em>La manipulación de la fisis permite la corrección de deformidades <em>ón</em>en pacientes esqueléticamente inmaduros. Recientemente, se ha propuesto el empleo de un nuevo implante (placas en 8) que presentaría algunas ventajas con sus antecesores. El objetivo de este estudio es evaluar los resultados radiográficos y las complicaciones de una serie consecutiva de pacientes tratados con este método.</p><p><strong>Material y Métodos</strong></p><p><strong></strong>Se revisaron retrospectivamente las historias clínicas de todos los pacientes esqueléticamente inmaduros con deformidades angulares que se sometieron a cirugía de realineación de miembros inferiores (Rodilla o tobillo) mediante crecimiento guiado con placas en 8 entre Enero de 2009 y Julio del 2013. Se evaluaron los datos demográficos, evolución radiográfica  y la tasa de complicaciones. Todos los niños fueron intervenidos en la misma institución, por tres ortopedistas infantiles.</p><p><strong>Resultado<em>s</em></strong></p><p>Se evaluaron 27 pacientes (47 fisis), 12 de sexo masculino, 15 sexo femenino. 38 fueron tratados por deformidades en valgo y 9 por varo. De las 47 fisis tratadas, 33 fueron en el fémur distal, 12 en la tibia proximal y 2 en la tibia distal.  La edad promedio en la que se realizó el procedimiento fue de 11.8±1.36 años (rango de edad de 8 años – 14 años). El tiempo promedio entre la colocación y el retiro fue de 10.6±3 meses (rango 7 – 26 meses). Todos los pacientes menos uno, presentaron corrección completa de la deformidad. Se presentaron 6 complicaciones postoperatorias y 2 de ellas requirieron una nueva intervención (1 efecto rebote y 1 migración del implante).</p><p><strong>Conclusión</strong></p><p>La utilización de placas en 8 para la corrección de deformidades angulares en pacientes esqueléticamente inmaduros es un método efectivo con una baja tasa de complicaciones.</p>

Use of Implant-Mediated Guided Growth With Tension Band Plate in Skeletally Immature Patients With Knee Pathology: A Retrospective Review

2021 ◽  
pp. 155633162110107
Author(s):  
Bridget K. Ellsworth ◽  
Alexandra H. Aitchison ◽  
Peter D. Fabricant ◽  
Daniel W. Green
Keyword(s):  
Retrospective Review ◽  
Deformity Correction ◽  
Patellofemoral Instability ◽  
Tension Band ◽  
Angular Deformity ◽  
Skeletally Immature ◽  
Guided Growth ◽  
Increased Risk ◽  
Knee Pathology

Background: Skeletally immature patients with coronal plane angular deformity (CPAD) may be at increased risk for intra-articular pathology and patellofemoral instability (PFI). These patients may be candidates for implant-mediated guided growth (IMGG) procedures with tension band plates to address CPAD in addition to procedures for concomitant knee pathology. However, there are limited data on performing these procedures simultaneously. Questions/Purpose: We sought to demonstrate the feasibility of combined procedures to address both knee pathology and concomitant CPAD using IMGG in skeletally immature patients. Methods: We conducted a retrospective review of skeletally immature patients who underwent IMGG and concomitant surgery for anterior cruciate ligament reconstruction, osteochondritis dissecans repair, meniscus pathology, or PFI at a single institution by 2 surgeons between 2008 and 2019. Data on demographics, surgical details, follow-up, and complications were recorded. Deformity correction was assessed in a subset of eligible patients. Results: Of 29 patients meeting inclusion criteria, deformity correction was assessed in a subset of 17 patients (15 valgus, 2 varus). At final follow-up, 16 of 17 patients had mechanical tibiofemoral (mTFA) angles of <5° of varus or valgus. One patient developed “rebound” valgus >5° after plate removal. Conclusions: The IMGG performed in the setting of treating intra-articular knee pathology is feasible and should be considered for skeletally immature patients with CPAD undergoing surgery for concomitant knee pathology.

Angular deformity correction by guided growth in growing children: Eight-plate versus 3.5-mm reconstruction plate

2017 ◽  
Vol 22 (5) ◽  
pp. 919-923
Author(s):  
Kyeong-Hyeon Park ◽  
Chang-Wug Oh ◽  
Joon-Woo Kim ◽  
Il-Hyung Park ◽  
Hee-June Kim ◽  
...  
Keyword(s):  
Deformity Correction ◽  
Plate Versus ◽  
Angular Deformity ◽  
Reconstruction Plate ◽  
Guided Growth

scholarly journals Orthopaedic sequelae of meningococcemia in children: options for the correction of lower and upper limb deformities (preliminary message)

2020 ◽  
Vol 8 (1) ◽  
pp. 63-72
Author(s):  
Yuriy E. Garkavenko ◽  
Alina M. Khodorovskaya ◽  
Bahauddin H. Dolgiev ◽  
Evgeny V. Melchenko
Keyword(s):  
Growth Plate ◽  
Bone Growth ◽  
Deformity Correction ◽  
Long Bone ◽  
Angular Deformity ◽  
Axis Deviation ◽  
Guided Growth ◽  
Limb Deformity ◽  
Distraction Osteosynthesis ◽  
Limb Deformities

Background. Мeningococcal infection with damage to various organs and systems, including the musculoskeletal system, causes growth plate dysfunction, which usually leads to the formation of orthopedic consequences, including axis deviation and/or limb length discrepancy. Aim. This study aimed to analyze the features of limb deformities and methods for their correction in children with consequences of meningococcemia. Materials and methods. The retrospective analysis was performed on patients with consequences of meningococcemia who were examined and surgically treated in the clinic between 2012 and 2018. A total of 12 patients (six boys and six girls) were included, with an age range of 215 years. The examination included clinical, X-ray, and physiological methods. Treatment methods consisted of a combination of angular deformity correction and limb lengthening. Results. In 12 patients, 76 growth plate arrests of long bones were found. Most frequently (17.1%), growth plate arrests of the distal femur and proximal tibia were observed, which resulted in limb shortening and/or axis deviation. For restoration of limb alignment in 10 (83.3%) patients, transosseous compression-distraction osteosynthesis was performed. For limb deformity correction, guided growth technique was applied by using eight-plate for temporary epiphysiodesis of active functioning part of the growth plate in four (33.3%) patients, whereas partial growth plate arrest resection with following epiphysiodesis was achieved in two (16.6%). Conclusions. Meningococcal septicemia leads to long bone growth plate dysfunction. The main complaints in this patient are limb shortening and their deformity. Along with the transosseous compression-distraction osteosynthesis technique, using the guided growth method by carrying out temporary epiphysiodesis of the remaining functioning part of the growth plate of damaged bone was appropriate.

scholarly journals Efficacy of Percutaneous Retrograde Transphyseal Guided Growth Screw in Distal Femoral Angular Deformity Correction

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ahmed Abdelaziz ◽  
Sameeh M. ElAshry ◽  
Mohammad M. Awadh ◽  
Aliaa Khaja ◽  
Saleh Alsaifi
Keyword(s):  
Deformity Correction ◽  
Angular Deformity ◽  
Guided Growth

scholarly journals Temporary hemiepiphysiodesis using an eight‐plate implant for coronal angular deformity around the knee in children aged less than 10 years: efficacy, complications, occurrence of rebound and risk factors

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Zhen-Zhen Dai ◽  
Zhen-Peng Liang ◽  
Hao Li ◽  
Jing Ding ◽  
Zhen-Kai Wu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Deformity Correction ◽  
Genu Valgum ◽  
Angular Deformity ◽  
Screw Loosening ◽  
Logistic Regression Models ◽  
The Mean ◽  
Low Incidence ◽  
Angular Deformities

Abstract Background Temporary hemiepiphysiodesis (TH) using an eight-Plate implant is one of the most common surgeries used for the correction of coronal angular deformities around the knee in adolescents. However, few studies have focused on children aged less than 10 years treated with TH using an eight-Plate implant. The purpose of this study was to investigate the efficacy, correction velocity, and complications of TH with an eight-Plate implant as well as the occurrence of rebound and risk factors in this population. Methods This retrospective study included a total of 135 physes (101 knees) from 66 children (mean age of 4.69 years old, range from 1 to 10 years old) who underwent TH with an eight-Plate implant to correct coronal genu angular deformities in our hospital. Related clinical factors were recorded and analysed by multivariable linear and logistic regression models. Results The mean deformity correction period was 13.26 months, and the mean follow-up after eight-Plate removal was 12.71 months. In all, 94.06% (95/101 knees) of the genu angular deformities were completely corrected. Non-idiopathic genu angular deformity was found to be an independent risk factor for deformity correction failure (odds ratio (OR) = 2.47). The femoral correction velocity was significantly higher than the tibial correction velocity (1.28° vs. 0.83° per month, p < 0.001). After adjustment for other factors, younger children had higher correction velocities in the distal femur; however, genu valgum and idiopathic deformities were associated with higher correction velocities in the proximal tibia. In addition, we found three (3/101, 2.97%) knees with genu valgum that experienced rebound after removal of the eight-Plate, while five (5/101, 4.95%) knees with non-idiopathic genu angular deformity experienced screw loosening. No other complications were found, and non-idiopathic deformity was the only risk factor for complications (OR = 3.96). No risk factor was found for rebound in our study. Conclusions TH using an eight-Plate implant is an effective procedure for coronal genu angular deformities with a low incidence of complications and rebound in patients younger than 10 years old. For this population, TH using an eight-Plate should be considered as soon as the deformity stops responding to conservative treatments. The parents of children younger than 10 years of age with non-idiopathic deformities should be informed preoperatively that the deformity may be prone to correction failure or screw loosening after eight-Plate implantation.

Single time angular deformity correction and treatment of knee instability in congenital fibular hemimelia. A case report

The Knee ◽  
2012 ◽  
Vol 19 (4) ◽  
pp. 504-507 ◽  
Author(s):  
David Figueroa ◽  
Rafael Calvo ◽  
Ignacio E. Villalón ◽  
Andrés Schmidt-Hebbel ◽  
Francisco Figueroa ◽  
...  
Keyword(s):  
Case Report ◽  
Deformity Correction ◽  
Knee Instability ◽  
Angular Deformity ◽  
Single Time ◽  
Fibular Hemimelia

scholarly journals Change in Effective Leg Length after Angular Deformity Correction by Hemiepiphyseal Stapling

2010 ◽  
Vol 2 (2) ◽  
pp. 85 ◽  
Author(s):  
Ho-Joong Jung ◽  
Tae-Joon Cho ◽  
In Ho Choi ◽  
Chin Youb Chung ◽  
Won Joon Yoo ◽  
...  
Keyword(s):  
Deformity Correction ◽  
Angular Deformity ◽  
Leg Length

scholarly journals The Significance of Serum Phosphate Level on Healing Index and Its Relative Effects in Skeletally Immature and Mature Patients with Hypophosphatemic Rickets

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Sang-Heon Song ◽  
Hanna Lee ◽  
Ji-Min Jeong ◽  
Woo-In Cho ◽  
Sung Eun Kim ◽  
...  
Keyword(s):  
Skeletal Maturity ◽  
Deformity Correction ◽  
Serum Phosphate ◽  
Hypophosphatemic Rickets ◽  
Serum Phosphate Level ◽  
Skeletally Immature ◽  
Laboratory Findings ◽  
Healing Index ◽  
Preoperative Serum ◽  
Immature Group

The aim of this study was to find out the ideal cut-off level of phosphate for safe healing when deformity correction and concomitant lengthening are indicated in the two different skeletal maturity groups of patients with rickets. Thirty-nine hypophosphatemic rickets patients were selected for the study and were divided into two groups: 27 skeletally immature (group IM) and 12 skeletally mature (group M). The outcomes were evaluated with respect to the healing index (HI), laboratory findings, and complications with the mean follow-up of 5.1 years (range, 3.1–7.9). The healing index (HI) of group IM was 1.44 month/cm and HI of group M was 1.68 month/cm. The negative correlation between the level of serum phosphate and HI in group M (coefficient = −0.94) was evaluated to be less than the correlation in group IM (coefficient = −0.50), indicating that the HI is more likely to be affected by serum phosphate in group M than in group IM. Preoperative serum phosphate levels of 2.3 mg/dL and 2.6 mg/dL were analyzed to be the cut-off values of group IM and group M, respectively, in which the cut-off points divided the series into two groups having the most significantly different HI.

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